Provider Demographics
NPI:1447604475
Name:HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH
Entity type:Organization
Organization Name:HOSPITAL SERVICE DISTRICT NO. 1 OF IBERIA PARISH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/INTERIM CEO
Authorized Official - Prefix:
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:VIATOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-374-7107
Mailing Address - Street 1:PO BOX 13338
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70562-3338
Mailing Address - Country:US
Mailing Address - Phone:337-374-7104
Mailing Address - Fax:
Practice Address - Street 1:600 N LEWIS ST
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563-2043
Practice Address - Country:US
Practice Address - Phone:337-365-7311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit